{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T01:00:35Z","timestamp":1780707635778,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":661,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2002,3]]},"abstract":"<jats:p><jats:bold>Objectives\n\t\t\t\t\t<\/jats:bold> To describe hysterectomies practised in 1994 and 1995: the patients, their surgery and short term outcomes.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> One of two large cohorts, with prospective follow up, recruited to compare the outcomes of endometrial destruction with those of hysterectomy.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> England, Wales and Northern Ireland.<\/jats:p><jats:p><jats:bold>Population\n\t\t\t\t\t<\/jats:bold> All women who had hysterectomies for non\u2010malignant indications carried out during a 12\u2010month period.<\/jats:p><jats:p><jats:bold>Methods\n\t\t\t\t\t<\/jats:bold> Gynaecologists in NHS and independent hospitals were asked to report cases. Follow up data were obtained at outpatient follow up approximately six weeks post\u2010surgery.<\/jats:p><jats:p><jats:bold>Main outcome measures\n\t\t\t\t\t<\/jats:bold> Indication for surgery, method of hysterectomy, ovarian status post\u2010surgery, surgical complications.<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> 37,298 cases were reported which is estimated to reflect about 45% of hysterectomies performed during the period studied. The median age was 45 years, and the most common indication for surgery was dysfunctional uterine bleeding (46%). Most hysterectomies were carried out by consultants (55%). The proportions of women having abdominal, vaginal or laparoscopically\u2010assisted hysterectomy were 67%, 30% and 3%, respectively. Forty\u2010three percent of women had no ovaries conserved after surgery. The median length of stay was five days. The overall operative complication rate was 3.5%, and highest for the laparoscopic techniques. The overall post\u2010operative complication rate was 9%. One percent of these was regarded as severe, with the highest rate for severe in the laparoscopic group (2%). There were no operative deaths; 14 deaths were reported within the six\u2010week post\u2010operative period: a crude mortality rate soon after surgery of 0.38 per thousand (95% CI 0.25\u20130.64).<\/jats:p><jats:p><jats:bold>Conclusions\n\t\t\t\t\t<\/jats:bold> This large study describes women who undergo hysterectomy in the UK, and presents results on early complications associated with the surgery. Operative complications occurred in one in 30 women, and post\u2010operative complications in at least one in 10. Laparoscopic techniques tend to be associated with higher complication rates than other methods.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2002.01282.x","type":"journal-article","created":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T16:25:19Z","timestamp":1072110319000},"page":"302-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":168,"title":["The VALUE national hysterectomy study: description of the patients and their surgery"],"prefix":"10.1111","volume":"109","author":[{"given":"M.J.A.","family":"Maresh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Metcalfe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klim","family":"McPherson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Overton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Hargreaves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bridgman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Dobbins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Casbard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2003,12,22]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1992.tb13758.x"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb14246.x"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1994.tb13583.x"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609033340"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)91158-8"},{"key":"e_1_2_8_7_2","first-page":"895","article-title":"Randomised comparison of laparoscopy\u2010assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting","volume":"80","author":"Summitt RL","year":"1992","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)80023-3"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90412-9"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1592\/phco.20.5.405.35051"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)49942-5"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11003.x"},{"key":"e_1_2_8_13_2","first-page":"403","volume-title":"Practical Statistics for Medical Research","author":"Altman DG","year":"1991"},{"key":"e_1_2_8_14_2","volume-title":"Hospital Episode Statistics England 1994\u20135","author":"Department of Health","year":"1996"},{"key":"e_1_2_8_15_2","volume-title":"National Confidential Enquiry into Peri\u2010operative Deaths (NCEPOD) for 1996\u201397","year":"1998"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(96)00315-8"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70494-1"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb11398.x"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1994.tb13579.x"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb13274.x"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1996.tb09666.x"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08275.x"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1997.tb02253.x"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7138.1122"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7185.682"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90632-0"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.1998.7.885"},{"key":"e_1_2_8_28_2","first-page":"320","volume-title":"Womens Health","author":"Rees MCP","year":"1997"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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